Chuang Emmeline, Wells Rebecca, Alexander Jeffrey, Green Sherri
Division of Health Management and Policy, Graduate School of Public Health, San Diego State University, San Diego, CA, USA.
Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Drugs (Abingdon Engl). 2013 Apr;20(2):149-159. doi: 10.3109/09687637.2012.703261. Epub 2012 Jul 17.
Community outreach services play an important role in infectious disease prevention and engaging drug users not currently in treatment. However, fewer than half of US substance abuse treatment units provide these services and many have little financial incentive to do so. Unit directors generally have latitude about scope of services, including the level of outreach provided to the community. The current study examines how directors' interactions with external stakeholders affect substance abuse treatment units' provision of community outreach services.
Cross-sectional logistic and Poisson regression analyses were conducted on a national sample of US outpatient substance abuse treatment units ( = 547).
Findings suggest that the amount of time directors spent with licensing and monitoring associations was associated with provision of a greater number of community outreach services, while time spent with professional and occupational associations was associated with provision of off-site human immunodeficiency virus and hepatitis C testing. Several other director attributes and organizational characteristics also emerged as significant.
External stakeholders with whom substance abuse treatment directors interact may influence community outreach through their effects on treatment directors' strategic priorities. Implications for policy and prevention efforts are discussed.
社区外展服务在传染病预防以及促使目前未接受治疗的吸毒者接受治疗方面发挥着重要作用。然而，美国不到一半的药物滥用治疗机构提供这些服务，而且许多机构几乎没有这样做的经济动机。机构主任通常在服务范围方面有一定的自主权，包括向社区提供的外展服务水平。本研究探讨机构主任与外部利益相关者的互动如何影响药物滥用治疗机构提供社区外展服务的情况。
对美国门诊药物滥用治疗机构的全国样本（n = 547）进行横断面逻辑回归和泊松回归分析。
研究结果表明，主任与许可和监管协会相处的时间与提供更多社区外展服务相关，而与专业和职业协会相处的时间与提供现场外人类免疫缺陷病毒和丙型肝炎检测相关。其他一些主任的属性和组织特征也被证明具有重要意义。
药物滥用治疗主任与之互动的外部利益相关者可能通过影响治疗主任的战略重点来影响社区外展服务。讨论了对政策和预防工作的启示。
